Näytä suppeat kuvailutiedot

Health-related quality of life outcomes in adolescent Scheuermann's kyphosis patients treated with posterior spinal fusion: A comparison with age- and sex-matched controls

Helenius Ilkka; Helenius Linda; Diarbakerli Elias; Gerdhem Paul; Saarinen Antti J; Suominen Eetu N; Syvänen Johanna

dc.contributor.authorHelenius Ilkka
dc.contributor.authorHelenius Linda
dc.contributor.authorDiarbakerli Elias
dc.contributor.authorGerdhem Paul
dc.contributor.authorSaarinen Antti J
dc.contributor.authorSuominen Eetu N
dc.contributor.authorSyvänen Johanna
dc.date.accessioned2022-10-28T12:36:32Z
dc.date.available2022-10-28T12:36:32Z
dc.identifier.urihttps://www.utupub.fi/handle/10024/160747
dc.description.abstract<p><strong>Purpose: </strong>To assess the health-related quality of life and radiographic outcomes of surgically treated adolescent Scheuermann's kyphosis patients after minimum of 2-year follow-up and to compare the health-related quality of life with age- and sex-matched healthy controls.</p><p><strong>Methods: </strong>Twenty-two consecutive adolescents (mean age = 16.7 years) undergoing posterior spinal fusion for Scheuermann's kyphosis were included and matched by age and sex with two healthy controls. The health-related quality of life was evaluated using the Scoliosis Research Society-24 questionnaire. Radiographic parameters were measured for comparison preoperatively and at 6 months and 2-year follow-ups. The health-related quality of life parameters were compared with healthy controls at 2 years of follow-up.</p><p><strong>Results: </strong>The mean maximal thoracic kyphosis improved from 79° (range = 75°-90°) to 55° (range = 45°-75°) (<em>p</em> < 0.001), and the mean lumbar lordosis was reduced from 71° (range = 51°-107°) to 52° (range = 34°-68°) (<em>p</em> < 0.001) after 2 years postoperatively. Incidence of proximal junctional kyphosis (PJK) was 18%. The scores of the Scoliosis Research Society-24 improved, with statistical significance observed in pain and self-image domains from preoperative to 2-year follow-up (<em>p</em> = 0.002 in both domains). The self-image and function were significantly lower in the operated patients at their 2-year follow-up visit compared to controls (<em>p</em> = 0.023 for self-image and <em>p</em> < 0.001 for function).</p><p><strong>Conclusion: </strong>Instrumented posterior spinal fusion improves the health-related quality of life of Scheuermann's kyphosis patients during the 2-year follow-up. The greatest improvement is observed in pain and self-image domains. The health-related quality of life in pain and activity domains reaches the level of healthy individuals, while function and self-image remain at a statistically lower level.</p>
dc.language.isoen
dc.publisherSAGE PUBLICATIONS INC
dc.titleHealth-related quality of life outcomes in adolescent Scheuermann's kyphosis patients treated with posterior spinal fusion: A comparison with age- and sex-matched controls
dc.identifier.urlhttps://doi.org/10.1177/18632521221106384
dc.identifier.urnURN:NBN:fi-fe2022091559188
dc.relation.volume16
dc.contributor.organizationfi=kliinisen laitoksen yhteiset|en=Department of Clinical Medicine|
dc.contributor.organizationfi=kirurgia|en=Surgery|
dc.contributor.organizationfi=työterveyshuolto|en=Occupational Health|
dc.contributor.organizationfi=tyks, vsshp|en=tyks, vsshp|
dc.contributor.organizationfi=anestesiologia ja tehohoito|en=Anaesthesiology, Intensive Care, Emergency Care and Pain Medicine|
dc.contributor.organizationfi=ortopedia ja traumatologia|en=Orthopaedics and Traumatology|
dc.contributor.organization-code2607301
dc.contributor.organization-code2607309
dc.contributor.organization-code2607310
dc.contributor.organization-code2607327
dc.contributor.organization-code2607300
dc.converis.publication-id176302548
dc.converis.urlhttps://research.utu.fi/converis/portal/Publication/176302548
dc.format.pagerange296
dc.format.pagerange290
dc.identifier.jour-issn1863-2521
dc.okm.affiliatedauthorDataimport, tyks, vsshp
dc.okm.affiliatedauthorHelenius, Linda
dc.okm.affiliatedauthorSaarinen, Antti
dc.okm.affiliatedauthorSuominen, Eetu
dc.okm.affiliatedauthorSyvänen, Johanna
dc.okm.discipline3126 Kirurgia, anestesiologia, tehohoito, radiologiafi_FI
dc.okm.discipline3123 Naisten- ja lastentauditfi_FI
dc.okm.discipline3123 Gynaecology and paediatricsen_GB
dc.okm.discipline3126 Surgery, anesthesiology, intensive care, radiologyen_GB
dc.okm.internationalcopublicationinternational co-publication
dc.okm.internationalityInternational publication
dc.okm.typeJournal article
dc.publisher.countryUnited Kingdomen_GB
dc.publisher.countryBritanniafi_FI
dc.publisher.country-codeGB
dc.relation.doi10.1177/18632521221106384
dc.relation.ispartofjournalJournal of Children's Orthopaedics
dc.relation.issue4
dc.year.issued2022


Aineistoon kuuluvat tiedostot

Thumbnail

Aineisto kuuluu seuraaviin kokoelmiin

Näytä suppeat kuvailutiedot